The Lived Experience of Middle-Aged Saudi Patients With End-Stage Chronic Renal Disease on Hemodialysis Treatment

J Transcult Nurs. 2023 Jul;34(4):263-269. doi: 10.1177/10436596231166041. Epub 2023 Apr 22.

Abstract

Introduction: More than 20,000 patients with chronic renal disease are receiving hemodialysis treatment in Saudi Arabia. Approximately, 57.4% of nurses in Saudi are expatriates. However, these nurses may not have sufficient cultural knowledge, which may affect perception of nursing care. Our purpose was to understand the lived experiences of middle-aged Saudi Arabian hemodialysis patients.

Method: This qualitative phenomenological study was conducted in Saudi Arabia in 2021. Data were analyzed using axial coding.

Results: Eleven patients aged 32 to 60 years participated. Two themes and three subthemes were identified: (a) hemodialysis's negative consequences (travel restriction, social isolation, and low responsibilities toward families) and (b) level of support (family support, nurses' support, and governmental support).

Discussion: Hemodialysis patients find travel and social engagement difficult. Furthermore, they cannot fully meet their family responsibilities due to fatigue and long hemodialysis hours. Health care providers should consider integrating these findings to deliver optimal holistic care.

Keywords: hemodialysis; lived experience; middle-aged; nursing care; travel restriction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Health Personnel
  • Humans
  • Kidney Failure, Chronic* / complications
  • Kidney Failure, Chronic* / therapy
  • Middle Aged
  • Renal Dialysis
  • Renal Insufficiency, Chronic* / complications
  • Renal Insufficiency, Chronic* / therapy
  • Saudi Arabia